It’s definitely a “system”. It’s not a rational one, though. It’s not even anywhere near as rational as the stock market, which is erratic & unpredictable, but still rational. The US health system is like an elementary school playground, actually. The rules are stated as rational things to rely on, but depending on who is in power at any particular moment, those rules are subject to immediate, retroactive and harshly unpredictable changes at unpredictable times for reasons or no reason at all.
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